摘要
目的探讨采用间歇减压法预防鼻塞式持续吸氧致早产儿鼻损伤的效果。方法将60例呼吸窘迫综合征早产儿随机分为对照组和观察组各30例。两组均采用鼻塞持续正压吸氧,对照组按照常规护理;观察组每2小时松解鼻塞5～10 min,减压前调高氧浓度10%～20%,减压期间密切观察,如SpO2低于0.90,立即停止减压。比较两组患儿鼻损伤情况及血氧饱和度指标。结果两组患儿血氧饱和度指标无差异(P>0.05),但对照组鼻部潮红发生率显著高于观察组(P<0.01)。结论间歇减压法可以有效预防鼻塞式持续吸氧致早产儿鼻损伤。
Objective To study the effect of nasal intermittent decompression on the prevention of nose injury of premature infants undergoing treatment of Nasal Continuous Positive Airway Pressure （NCPAP）. Methods Totally, 60 premature infants with respi- ratory distress syndrome were equally randomized into a control group and an observation group, and both groups were treated with NCPAP. Infants in the control group received conventional care, while those in the the observation group received nasal inter- mittent decompression every 2 h, with each decompression lasting 5-10 min. Oxygen concentration was adjusted between 10% and 20% before decompression. If the value of blood oxygen saturation became lower than 0.90 during decompression, the intervention had to be ceased. Nose injury and values of blood oxygen saturation were observed and compared. Results There were no significant differences in the values of blood oxygen saturation in both groups （P〉0.05）. However. the rate of nose injury had significant difference between groups （P〈 0. 01）. Conclusion Nasal intermittent decompression is an effective way to prevent nose injury caused by NCPAP.
关键词
早产儿
鼻塞式持续正压通气
间歇减压法
鼻损伤
护理
premature infants
nasal continuous positive airway pressure
intermittent decompression
nose injury
nursing care
